# 312 ORAL MOTOR ASSESSMENT AND INTERVENTION

SUMMARY: Oral motor impairment presents a variety of challenges for both the individual affected, and for the care team providing intervention. Often the individual experiencing oral motor difficulties is not able to follow commands. The person may not be eating or taking fluids orally, which reduces the opportunities for observation of oral movement patterns. The majority of baseline protocols currently available require at least minimal direction-following skills. The protocol developed by Beckman uses mechanical muscle response, which are not mediated cognitively, to baseline the response to pressure and movement, range of movement, variety of movement, strength of movement and control of movement for the lips, cheeks, jaw and tongue. In this two-day course, participants will actively participate in hands-on practice for compensatory handling techniques for the following concerns: tonic bite, tonic bite on a utensil, slow oral transit, tongue thrust, cough, gag and vomit. The participants will complete an oral motor protocol with each other, analyze the results, and discuss data tracking. The participants will also complete hands-on practice for specific oral motor interventions to address the deficit areas discovered during baseline assessment. Additional topics of discussion may include: goal writing, diet texture progression, tube to oral issues, adaptive mealtime utensils, oral hygiene issues, medication administration issues, oral function for individuals with trachs, facilitating improved articulation through oral motor techniques, research issues, videofluroscopy issues for motorically involved individuals, and additional topics of importance as determined by the participants.

PRESENTER: Debra Beckman has worked in the field of communicative disorders since 1975, specializing in motor speech disorders. She has worked in a variety of settings, including schools, hospitals, universities, trauma centers, home-bound, foster homes, group homes, Intermediate Care Facilities for the Mentally Retarded (ICF-MRs), nursing homes and large residential facilities. As a self-employed consultant, she has co-authored training materials for the states of Florida, Oklahoma and Wyoming, which are presently used in a number of states. She has served as a court appointed witness and as a resource content expert for seven federal court cases, regarding services for the developmentally disabled. Ms. Beckman has presented at numerous local, state, national and international conferences and has published articles in professional books, journals, monographs; and in Exceptional Parent magazine. She has been awarded a United States patent for a therapeutic oral probe. Ms. Beckman has been recognized by her peers and her community for clinical achievement.

OBJECTIVES: 1) Demonstrate assessment battery for determining orofacial movement patterns using the Beckman protocol

    1. Demonstrate compensatory handling techniques
    2. Demonstrate oral motor interventions and treatment techniques
    3. Pre-post questions
    4. How does sensory input affect oral motor patterns?
    5. How does gravity affect oral motor patterns?
    6. What components must be assessed to determine oral motor functions?
    7. What interventions would increase secretion control and decrease drooling?
    8. What interventions would decrease tongue thrust?

AUDIENCE: Licensed Speech Pathologists and Occupational Therapists. MOTIVATIONS Inc. will award 1.6 continuing education units for this program. This couse is an ASHA approved program.

AGENDA: Day One

8:00 - 10:00 Topic Areas: Mealtime Myths, Neuroanatomy, Impact of Sensory System, Impact of Gravity on Function, Nursing and Bottles, Oral Patterns, Case Studies - Slides and Tapes

10:15 - 12:00 Case Studies - Mealtime Job Aides - Position, Texture, Temperature, Consistency, Utensils

12:30 - 3:00 Compensatory Techniques - Practice: Tonic Bite, Tonic Bite on a Utensil, Coughing, Gagging/Vomiting

3:15 - 4:15 Loss of Food/Fluid, Delayed Oral Transit

4:15 - 5:00 Assessment Techniques for Oral structures - Hands on Practice: Lips, Gums, Base of Tongue, Cheeks

Day Two

8:00 - 10:00 Assessment Techniques for Oral structures - Hands on Practice: Jaw, Tongue, Soft Palate

10:15 - 11:15 Analysis of Findings & Goals/Objectives

11:15 - 12:00 Oral Motor interventions - Hands on Practice: Lips, Midface

12:30 - 3:00 Gum Massage, Base of Tongue, Cheeks

3:15 - 4:00 Jaw, Tongue/ Application Issues